LEIK FNP ACTUAL TEST PAPER COMPLETE
QUESTIONS AND ANSWERS FULL
SOLUTION
●● Which of the following findings is most likely in young
primigravidas with pregnancy-induced hypertension?
A. Abdominal cramping and constipation
B. Edema of the face and the upper extremities
C. Shortness of breath
D. Dysuria and frequency
Answer: B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension
include edema of the face and the upper extremities, weight gain, blurred
vision, elevated blood pressure, proteinuria, and headaches
●● Which of the following symptoms is associated with B12 deficiency
anemia?
A. Spoon-shaped nails and pica
B. Abnormal neurological exam
C. Vegan diet
D. Tingling and numbness of both feet
Answer: D) Tingling and numbness of both feet
,Vitamin B12 deficiency anemia can cause nerve cell damage if not
treated. Symptoms of B12 deficiency anemia may include tingling or
numbness in fingers and toes, difficulty walking, mood changes or
depression, memory loss, disorientation, and dementia.
●● A second triple screen on a 35-year-old primigravida reveals
abnormally low levels of alpha fetoprotein and estriol and high levels of
human chorionic gonadotropin. Which of the following interventions is
the best choice for this patient?
A. Order an ultrasound
B. Order a computed tomography (CT) scan of the abdomen
C. Order a 24-hour urine for protein clearance
D. Assess for a history of illicit drug or alcohol use
Answer: A) Order an ultrasound
Abnormally low levels of alpha fetoprotein and estriol and high levels of
human chorionic gonadotropin are abnormal during pregnancy. An
ultrasound should be ordered to further evaluate the fetus for
characteristics of Down syndrome and/or fetal demise.
●● All of the following are true statements about diverticula except:
A. Diverticula are located in the colon
B. A low-fiber diet is associated with the condition
C. Most diverticula in the colon are infected with gram-negative bacteria
D. Supplementing with fiber, such as psyllium (Metamucil), is
recommended
,Answer: C) Most diverticula in the colon are infected with gram-
negative bacteria
Diverticula in the colon can be infected with both gram-negative and
gram-positive
●● Patients who are diagnosed with gonorrhea should also be treated for
which of the following infections?
A. Chancroid
B. Chlamydia trachomatis
C. Herpes genitalis
D. Pelvic inflammatory disease (PID)
Answer: B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated for
Chlamydia trachomatis.
●● Kyphosis is a late sign of:
A. Rheumatoid arthritis
B. Osteopenia
C. Osteoporosis
D. Osteoarthritis
Answer: C) Osteoporosis
Kyphosis is a curvature of the spine that causes a rounding of the back,
which leads to a slouching posture. Severe thinning of the bones
(osteoporosis) contributes to this curvature in the spine. Symptoms that
, may occur with severe cases of kyphosis include difficulty breathing,
fatigue, and back pain.
●● A 35-year-old primigravida who is at 18 weeks gestation is expecting
twins. What would you would expect her alpha fetoprotein (AFP) values
to be?
A. Normal
B. Higher than normal
C. Lower than normal
D. None of the above
Answer: B) Higher than normal
Alpha fetoprotein (AFP) is produced in the fetal and maternal liver.
Higher levels of AFP are commonly seen in multiple gestations due to
the growing liver in each fetus, which cumulatively lead to higher AFP
levels.
●● Which of the following antihypertensive medications has beneficial
effects for an elderly White woman with osteoporosis?
A. Calcium channel blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Thiazide diuretics
Answer: D) Thiazide diuretics
QUESTIONS AND ANSWERS FULL
SOLUTION
●● Which of the following findings is most likely in young
primigravidas with pregnancy-induced hypertension?
A. Abdominal cramping and constipation
B. Edema of the face and the upper extremities
C. Shortness of breath
D. Dysuria and frequency
Answer: B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension
include edema of the face and the upper extremities, weight gain, blurred
vision, elevated blood pressure, proteinuria, and headaches
●● Which of the following symptoms is associated with B12 deficiency
anemia?
A. Spoon-shaped nails and pica
B. Abnormal neurological exam
C. Vegan diet
D. Tingling and numbness of both feet
Answer: D) Tingling and numbness of both feet
,Vitamin B12 deficiency anemia can cause nerve cell damage if not
treated. Symptoms of B12 deficiency anemia may include tingling or
numbness in fingers and toes, difficulty walking, mood changes or
depression, memory loss, disorientation, and dementia.
●● A second triple screen on a 35-year-old primigravida reveals
abnormally low levels of alpha fetoprotein and estriol and high levels of
human chorionic gonadotropin. Which of the following interventions is
the best choice for this patient?
A. Order an ultrasound
B. Order a computed tomography (CT) scan of the abdomen
C. Order a 24-hour urine for protein clearance
D. Assess for a history of illicit drug or alcohol use
Answer: A) Order an ultrasound
Abnormally low levels of alpha fetoprotein and estriol and high levels of
human chorionic gonadotropin are abnormal during pregnancy. An
ultrasound should be ordered to further evaluate the fetus for
characteristics of Down syndrome and/or fetal demise.
●● All of the following are true statements about diverticula except:
A. Diverticula are located in the colon
B. A low-fiber diet is associated with the condition
C. Most diverticula in the colon are infected with gram-negative bacteria
D. Supplementing with fiber, such as psyllium (Metamucil), is
recommended
,Answer: C) Most diverticula in the colon are infected with gram-
negative bacteria
Diverticula in the colon can be infected with both gram-negative and
gram-positive
●● Patients who are diagnosed with gonorrhea should also be treated for
which of the following infections?
A. Chancroid
B. Chlamydia trachomatis
C. Herpes genitalis
D. Pelvic inflammatory disease (PID)
Answer: B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated for
Chlamydia trachomatis.
●● Kyphosis is a late sign of:
A. Rheumatoid arthritis
B. Osteopenia
C. Osteoporosis
D. Osteoarthritis
Answer: C) Osteoporosis
Kyphosis is a curvature of the spine that causes a rounding of the back,
which leads to a slouching posture. Severe thinning of the bones
(osteoporosis) contributes to this curvature in the spine. Symptoms that
, may occur with severe cases of kyphosis include difficulty breathing,
fatigue, and back pain.
●● A 35-year-old primigravida who is at 18 weeks gestation is expecting
twins. What would you would expect her alpha fetoprotein (AFP) values
to be?
A. Normal
B. Higher than normal
C. Lower than normal
D. None of the above
Answer: B) Higher than normal
Alpha fetoprotein (AFP) is produced in the fetal and maternal liver.
Higher levels of AFP are commonly seen in multiple gestations due to
the growing liver in each fetus, which cumulatively lead to higher AFP
levels.
●● Which of the following antihypertensive medications has beneficial
effects for an elderly White woman with osteoporosis?
A. Calcium channel blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Thiazide diuretics
Answer: D) Thiazide diuretics
